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If
your teeth are crooked, turned, or overlapped,
you are not alone-virtually 90% of the
population has an orthodontic condition
known as crowding. Generally caused
by genetics (e.g. a relatively small
jaw or relatively large teeth) or by
habits such as nail biting and thumb
sucking, crowding is easily fixed with
orthodontia.
Typical treatment for crowded teeth
involves the placement of highly detailed
orthodontic "braces"
on all the upper and lower teeth.
In
adolescents or adults, braces may
be worn between two and three years,
depending on how crowded or misaligned
the teeth are. Once the teeth are
stable in their alignment, the braces
are removed, and a fixed retainer
is placed on the back of the lower
teeth to hold them in place; the upper
teeth are held with a removable retainer.
Retainers are worn for two or more
years depending on the severity of
the original condition. The lower
retainer should be worn as long as
possible, as the highest chance of
relapse occurs with the lower front
teeth.
When crowding is detected early in
children (when baby teeth are still
present), a functional appliance or
braces can be placed so that when
the baby teeth fall out, the appliance/braces
hold back the rest of the molars,
acting as a "spacer." The
patient is instructed to turn the
appliance's screw each night, which
slowly widens the upper jaw in order
to make room for the impending adult
teeth. Although the expansion process
is achieved in approximately four
months, the appliance should be worn
for the next six to nine months to
ensure maximum long-term results.
Whether braces, an oral appliance,
or extraction is used to reduce tooth
crowding, your orthodontist knows
the quickest and most efficient way
to resolve your situation. Be sure
to alert him or her to your expectations
and time constraints. Undoubtedly,
a healthy smile will follow.
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